Homestead_Rexing (15) SLATE(OKM OC/WI TRFASULER PQRVYIA
.VrRw'ED BY AVE 004IDOE NtTk%TS.9n PIESCAMED BY THE DEPMf•evt OF LOCAL r t'osrn FINANCE IC 6-1.•=4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS ••
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying. information necessary to allow county government to better monitor homestead
filings.this information will be kept confidential and can only be accessed by authorized county officials,The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION_, -
Taxpayer Name Pro • • " •ddress
Rexing, David R/ Elaine R t a S o 9 S SO F
x !6
Haubstadt IN 476 '
229
David R/Elaine R Rexing
—R9 Box 256— 12 509 s SO G
Haubstadt IN 47639-8711 State Parcel Number Legal Description
III IIII I I I I I I IIII I I III 26-23-18-200-001.861-024 004-01861-00 PT NE 18 4 10.5969 AC
t o tit t nn P t ll ll t tit nr tit tit t tit t t
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
Dot. ear IRek t' h
g Address(number rata strut,city,state,and ZiP code) " — /— - — 0 Same as property ad " - - —
( 5o c\ 3 So E Nap sTadT Ted y 63 et
Spouse First Middle Last
E Rose R i ne1n
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property ad
/DSo �i s 5o E Na.-bragy 77639
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury'.that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
•
'�J������ � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
a� '
State Fortn 5473 (R2 / 5-92)
v � J
INSTRUCTIONS: See reverse side lor /iling instructions.
FORM YEAR
HC10
�A��
, L'}'i: _ . 3::-�'r . . ' . q
I.�Ne) _ � T certify ihat on th�
�e) occupied as our principal place o residence ihe Pollowing des bed re m erty for which a H estead Pm T�
u I(We) owned ❑ Are buying under coniract GIBSON
Ut:T`
❑ Have a beneficial interest in the entiry that is liable for the property taxes on the pmperty and that owns the property or
ot�March, 79
i5 he�by daimed:
a wniraci.
� . . . .. - - <-CONTRACT�RECORDED� �•.. , - ,.'.,. . �-��--:' ` -
. . _ . .... ._. ....... . ..-.. . _ ._ .,
Ii buying on contract, Fee Simple owner s name
ReCOrder's oftice w�ere contract is recorded � Record number Page
County
If any portion of
ol ihe propeny i
n ' ., .. � '� 5
TOwnship Taxing st - (dry, . town57�ip)
� / Legal tlescription
s[rutture or the tand not exceeding one (1) aue Ihat immetliatety surrounds ihat siructure is used to protluce income, desaibe the use antl ponion
ice income.
��w.�iirr--.riiiQ� �i�ir��r
- � ASSESSORUSEONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL.�
- � � VALUE VALUE VALUE . . VALUE -
Land not exceeding 1(one) acre immediately � � - " .,
surrounding residential improvemen�s. ��)
Otherland � ��9
(2) ,.
Totai land (line 1 plus line 2� (3)
Dwelling (a) , .. ' .
Residential improvements .
Garage (5) � ' .
Oiher improvemenis (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby Certify the above is true, correct, and Signature ot Assessor Da;e signetl
comptete.
�tyirg action - Signature of Auditor Date signed
� � STANDARD DEDIJCTION ALLOWANCE' � ;' � � �� -' � `-
19_Pay 79_
Lesser of V2 Homestead
Valuation or 52,000 �
Signature of AWitor Date signed
I